Within the framework of the International Project UNDP / GEF HCW, which was launched in 2008, the College of Engineering (COET) at the University of Dar es Salaam has developed an affordable technology that is respectful of environment and is based on the concepts of state-of the art autoclave waste treatment systems used in industrialized countries. This equipment without incineration technology has been designed, manufactured and tested at COET through the collaboration of students, teachers, support staff and experts from UNDP / GEF. It is ideal for medium-sized county hospitals of about 100 beds.